The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: 1  Shortness of breath (dyspnea) when you exert yourself or when you lie down. 2  Fatigue and weakness. 3  Swelling (edema) in your legs, ankles and feet. 4  Rapid or irregular heartbeat. 5  Reduced ability to exercise. 6  Persistent cough or wheezing with white or pink blood-tinged phlegm.
Right-sided Heart Failure. The right side of the heart usually becomes weaker in response to failure on the left side. The right side of the heart brings in the circulated blood from the body and sends it to the lungs for oxygen. When the left side of the heart weakens, the right side of the heart has to work harder to compensate. Again, as the heart muscle loses strength, blood and fluid become backed up in the body.